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Aging in the Americas: Disability-free Life Expectancy Among Adults Aged 65 and Older in the United States, Costa Rica, Mexico, and Puerto Rico

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  • Collin F Payne

Abstract

Objectives. To estimate and compare disability-free life expectancy (DFLE) and current age patterns of disability onset and recovery from disability between the United States and countries in Latin America and the Caribbean.Method. Disability is measured using the activities of daily living scale. Data come from longitudinal surveys of older adult populations in Costa Rica, Mexico, Puerto Rico, and the United States. Age patterns of transitions in and out of disability are modeled with a discrete-time logistic hazard model, and a microsimulation approach is used to estimate DFLE.Results. Overall life expectancy for women aged 65 is 20.11 years in Costa Rica, 19.2 years in Mexico, 20.4 years in Puerto Rico, and 20.5 years in the United States. For men, these figures are 19.0 years in Costa Rica, 18.4 years in Mexico, 18.1 years in Puerto Rico, and 18.1 years in the United States. Proportion of remaining life spent free of disability for women at age 65 is comparable between Mexico, Puerto Rico, and the United States, with Costa Rica trailing slightly. Male estimates of DFLE are similar across the four populations.Discussion. Though the older adult population of Latin America and the Caribbean lived many years exposed to poor epidemiological and public health conditions, their functional health in later life is comparable with the older adult population of the United States.

Suggested Citation

  • Collin F Payne, 2018. "Aging in the Americas: Disability-free Life Expectancy Among Adults Aged 65 and Older in the United States, Costa Rica, Mexico, and Puerto Rico," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(2), pages 337-348.
    • Handle: RePEc:oup:geronb:v:73:y:2018:i:2:p:337-348.
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    References listed on IDEAS

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    1. Daniel Cotlear, 2011. "Population Aging : Is Latin America Ready? [Envejecimiento de la población : ¿está preparada América Latina ?]," World Bank Publications - Books, The World Bank Group, number 2542.
    2. World Bank, 2014. "World Development Indicators 2014," World Bank Publications - Books, The World Bank Group, number 18237.
    3. Flávia C. D. Andrade, 2010. "Measuring the Impact of Diabetes on Life Expectancy and Disability-Free Life Expectancy Among Older Adults in Mexico," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 65(3), pages 381-389.
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